首页|肝硬化并发门静脉血栓的危险因素与防护策略

肝硬化并发门静脉血栓的危险因素与防护策略

扫码查看
门静脉血栓(PVT)形成是肝硬化自然病程中的常见并发症之一,对肝硬化进展有重要影响.本文着重总结了PVT发生的危险因素、预后等方面的研究进展.PVT形成的危险因素较多,Virchow三要素即门静脉血流阻滞、血液高凝状态、手术或创伤引起的血管内皮损伤以及全身炎症等被认为是PVT发生发展的主要原因.目前具有临床应用前景的PVT发生风险预测模型尚需更多前瞻性研究验证.肝硬化PVT患者的预后较差,完全闭塞性PVT与肝移植术后病死率升高相关.肝硬化患者预防性抗凝治疗已被证实安全有效,将有助于PVT的防治管理.
Portal vein thrombosis in liver cirrhosis:Risk factors and protection strategies
Portal vein thrombosis(PVT)is one of the common complications during the natural course of liver cirrhosis and has an important influence on the progression of liver cirrhosis.This article mainly summarizes the research advances in the risk factors for PVT.There are many risk factors for PVT,and Virchow's triad,namely venous stasis,hypercoagulability,and vascular endothelial injury and systemic inflammation caused by surgery or trauma,are considered the main reasons for the development and progression of PVT.At present,more prospective studies are still needed to validate the predictive models for the risk of PVT that have certain application prospects in clinical practice.Cirrhotic patients with PVT tend to have a poor prognosis,and complete obstructive PVT is associated with increased mortality after liver transplantation.Recent studies have shown that prophylactic anticoagulant therapy is safe and effective in patients with liver cirrhosis and can thus help with the prevention and treatment of PVT.

Liver CirrhosisPortal VeinVenous Thrombosis

冯文娟、周宁、汪雨露、白兆琴

展开 >

甘肃中医药大学,兰州 730000

兰州市第一人民医院消化科,兰州 730050

肝硬化 门静脉 静脉血栓形成

甘肃省科技厅重点研发项目兰州市人才创新创业项目

21YF5FA16921YF5FA169

2024

临床肝胆病杂志
吉林大学

临床肝胆病杂志

CSTPCD北大核心
影响因子:1.428
ISSN:1001-5256
年,卷(期):2024.40(1)
  • 10